Active NPI
Peak One Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Frisco, CO
National Provider Identifier
1609876556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0173
- Legal business name
- PEAK ONE SURGERY CENTER, LLC
- Practice address
- 350 Peak One Drive
Frisco, CO 80443 - Phone
- (970) 668-1458
- Fax
- (970) 668-1703
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter C Janes, MD
- Title
- President, Board of Managers
- Phone
- (970) 668-1458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0173 | CO | Primary |
Addresses
Primary practice location
350 Peak One Drive
Frisco, CO 80443
Mailing address
PO Box 5541
Denver, CO 80217-5541
Phone (970) 668-1458
Other names 1
- Peak One Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060223000435 | CO | Part B Supplier - Ambulatory Surgical Center | 9830105139 | Practice locations: Frisco, CO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Peak One Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1043502 | Peak One Surgery Center, LLC | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Colorado Springs, CO
- NPI 1427839646
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Steamboat Springs, CO
- NPI 1942555081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1609876556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5541",
"city": "DENVER",
"state": "CO",
"postal_code": "802175541",
"telephone_number": "970-668-1458",
"fax_number": "970-668-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PEAK ONE DRIVE",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-668-1458",
"fax_number": "970-668-1703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK ONE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "JANES",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
"authorized_official_telephone_number": "970-668-1458",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "0173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak One Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.